| NPI | 1013672666 |
|---|---|
| Doing Business As | LVPG PODIATRY - MAUCH CHUNK |
| Doing Business As | LVPG PODIATRY - 1250 CEDAR CREST |
| Doing Business As | LVPG PODIATRY |
| Doing Business As | LVPG PODIATRY - DICKSON CITY |
| Doing Business As | LVPG PODIATRY - CARBON |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOULOS Sr VP & COO L VP G 484-862-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-06-13 |